Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $88.33 / $150.08	Facility		$18.94	$88.33	$150.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $42.88 / $49.08	Professional		$11.80	$42.88	$49.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $35.36 / $35.36	Facility		$35.36	$35.36	$35.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.87 / $18.59	Professional		$9.44	$14.87	$18.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Facility		$11.16	$11.16	$11.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $51.20	Professional		$12.80	$12.80	$51.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $49.28 / $82.62	Facility		$44.80	$49.28	$82.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $28.80 / $28.80	Professional		$11.52	$28.80	$28.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $44.80	Facility		$11.16	$11.16	$44.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $18.50	Professional		$12.80	$12.80	$18.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $25.60 / $38.61	Professional		$8.05	$25.60	$38.61